HomeMy WebLinkAboutBuilding Permit 00-0593
~)
~
CITY OF PRIOR LAKE
BUILDING PERMIT,
II:MPORARY CERTIFICATE OF
-4 I :1 am ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
\) !
i'
';1, 3 /a>
2. SITE ADDRESS Q /" '" II " C.. \ V7 '1
III JD3 '":J 1/YJpJ-.n 'Q lJ l;lU \L..-
3. LEGAL DESCRIPTION
(p BLOCK (p PID QS-~aE-~-O
.,:::ir~+-/1rM', --/.JOn ~ \AJ.p~~ -p"ne1.s
4. OWNER ~lutaiie\\nn'tJ)Y) I<C;; ~i I.. (j ~ (Tr~D nq;' ,
5. ARCHITECT ., ~~a~e) /1 . A '" j _ (Address) ~ _ j . (Tal. No.~ , \
(1,,/lfA1:Y tr.,77P'/SPL 1I/J'ltJ3 ~~ CQM)
6. BUILDER (Name) (Address) / (Tel. No.)
DIRECTIONS
SPACES NUMBERED 1 THAU 1.7MUST.BEFfllEO IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
LOT
ADDITION
W;/.~
7. TYPE OF WORK Fireplace (:J Septic (:J
New construction'J( Alterations (:J Addition (:J
Chimney (:J Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Deck)l
Finish Attic (:J
Re-roofing (:J Porch (:J
Re-siding (:J Finish Basement (:J
1 O. CULVERT SIZE
Yes No
9. PROPERTY DIMENSIONS
Width Depth
1. White j' .~; .
2. Pink "
3. Yellow 5~. '_
"."".\ll .
;~f/sr
s;-<i3
BUILDI
11. SIZE OF S
(Height) .
In l.,~
12. NO. OF STORIES
I
13~~N
14: FLOOR AREA APPORTIONMENT USE
(Depth)
2.-'.3
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
I hereby certify that I have . ed information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that thb
building offlcia(68il)evoke this permit for just. . . Furthennore. I hefeby agrae that "'e clty official or a designee may entar upon tha property to peIlonn ~'J?;l,ons.
X " .~~. -~'" - *'1//.
S. - - ;I Of
19l'1ature License No. t
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
,
,,~r a.../{L
USE OF BUILDING ,- - ":> r'
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
'!Ooo. -
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS (:J ENERGY DATA LJ
PILING LOGS (:J
PLANS & SPECS (:J
SURVEY (:J
PERCOLATION TESTS LJ
SETS
COPIES
PLOT PLAN
(:J
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty......... .............................. $
Plumbing Permit Fee ... .. .. .. .. .. .. .. .. .... $
Mechanical Permit Fee ..................... $
l4."l5
4Ls~
1,50
Amount Brought Forward . .. .. ... .. .. .. .... $
Park Support Fee ........................... $
SAC ................. ................ ........ $
Collective Street Fee .. .. ... .. .. .. . ... ... ... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee .......... ........... ...... $
City:
Sewer & Water Permit ...................... $
:=RkJ/~~Wh~irrk
Certificate of Occupancy
-~."'.~~.l
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ \'l~. &-+
Paid \Qtf, ts4 ReceiPtNo.~'1~
Issued ~-
Date I.~ By
1111s Is 10 cerlIfy lhet.... ~ in tha above epplIcation and acoompanylng documents Is in accoolance wilh tha City Zoning ina~ _ ~ _ -...... when
signed by the CIty Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificatea=~ must be issued.
City Planner
Date
Special Conditions if any
24 hour notice for aU inspections 447-9850
- ....
~
0.. ~
,. of ~
y.' 1
1'2-
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 1(0103 S/NPK/NS elte sw
TYPE OF WORK DECK
USE OF BUILDING /(ES 11/R-
PERMIT NO. 00.0 t:;q3 I DATE ISSUED 7-/4 .00
BUILDER H.fJf\/SorJ I
NOTE: THIS .15 NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTI Al1 IN70R DATE
fOlllNG Olt _ PI'II6fJ
. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED'
~ .~ \~ ., ~'/(/DO
- "
~.
DEPARTMENT OF
BUILDING AND INSPECTION
FINAL
ffZ//tJ7
)
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CITY'OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
{(pro~ $"~~A6
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING~
INSULATION
INALP
~ITE INSPECTI
o PLUMBING RI
o MECH RI
o WATER t:iOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~;~~
C //Z.:
TIME
A 'L.. .
~o. S-'.3
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
U-I ~9 ~,
f14-
,~ J.. -
U
.
~ t:!6' ~
,.J(!) (2e..'~ 0 ~ :~
(J
- ,.
~'~
\
ctkc.- Z I.{ I' ~
/~
\(}wORK SATISFACTORY, PROCEED
/Dv CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ OwnerlConlr.
.,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'^..Ji,II.........
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETYI